Newly-Diagnosed Bipolar – What to Do

Posted by Natasha Tracy | Aug 13, 2010

One of the things that happens because I write about bipolar disorder so much, is that people ask me a lot of questions about what they should do with their bipolar treatment. I understand this. People feel like they don’t know what to do. And often people just don’t have a good relationship with their doctor/psychiatrist.

No One Can Make Mental Illness Treatment Decisions But You

The thing is, I can’t tell you what to do with your mental illness treatment. I can give you information, I can try to help, I can suggest reliable, mental health resources, but you have to make the treatment decision. It’s a scary thing I know. I still hate it myself.

And the people who have it the toughest are the ones who have just been diagnosed with bipolar disorder or another mental illness. So here’s what I suggest you do if you’ve just been diagnosed with bipolar disorder.

How long do side-effects last? When will medication work?

Posted by Natasha Tracy | Jul 27, 2010

A common question bipolars and depressives ask is about the duration of side-effects and delay for effective treatment. These are completely reasonable and understandable questions. unfortunately, the answers aren’t great...

Bipolar Disorder and Remission

Posted by Natasha Tracy | Jul 25, 2010

I’m not sure that remission is something we will all get to enjoy, as bipolars. And the remission from depression, the remission from hypomania, the remission from bipolar we do experience seems to be a very watered-down version of the lives we want, the lives we deserve and certainly the lives we’re promised by doctors and treatments. So if remission isn’t all it’s cracked up to be, what is remission in bipolar disorder?

What Happens When Your Doctor Gives Up On You?

Posted by Natasha Tracy | Jul 19, 2010

I have had two doctors give up on my bipolar disorder (mostly depression) treatment. One almost a decade ago, and one just a couple of months ago. I didn’t take the most recent doctor abandonment all that well, as I’ve mentioned. In fact, if I saw the woman today, I’d still want to call her a cunt. An unfeeling, malpracticing, cold-hearted cunt. It seems I’m still a little upset about it.

A Doctor Giving Up on You is Unacceptable

But regardless as to my personal feelings about this woman, I feel that a doctor dismissing a patient without referral, medication, treatment or care, is unacceptable. It leaves the ill person with few visible options outside of suicide. A depression, suicidal person with no options. Peachy. These doctors are killing people through their own ignorance.

So, what should you do if your doctor gives up on your treatment? (You know, other than call them nasty names online, which I heartily recommend. It’s cathartic. HealthyPlace isn’t a fan of such things, however.)

Getting Off Pristiq – Or Not

Posted by Natasha Tracy | Jul 7, 2010

A couple of posts ago I talked about getting off of the antidepressant, Pristiq. I just thought you might like to know I was unsuccessful at getting off the final 50mg of Pristiq. I stopped taking the final Pristiq pill while increasing the antidepressant, Welbutrin and fell entirely apart in withdrawal. I became a swamp of tears, echos of choking sobs and a rainforest (?) of suicidality.

Yeah, so I gave into the withdrawal and just took the Pristiq again. Ah…failure. Failure getting on antidepressants, failure getting off antidepressants, and failing to get better. Sheesh. That’s quite a lineup.

Drugs are bad. Just say no. Or ow. Or please god stop.

Or that might be just me.

How To Get Off Pristiq or Reduce Pristiq

Posted by Natasha Tracy | Jun 26, 2010

Now I’m not a doctor, in fact, I don’t even play one on TV, but I wanted to share a little about me and how I’m handling getting off of, or at least reducing, Pristiq.

Please also read: When to Get Off Antidepressants with Bipolar Disorder

Antidepressant Pristiq – Easy On, Not-So-Easy Off

I’ve been talking the antidepressant Pristiq (desvenlafaxine) for months and it doesn’t seem to be doing much, but honestly, the withdrawal from Pristiq is so bad I didn’t want to attempt getting off of it. As you might know, Pristiq is a metabolite of Effexor and Effexor, another antidepressant, is also a nightmare to get off of. If I would miss a Pristiq dose by even a few hours I would become suicidally depressed. Really. No joke.

No Taper Strategy for Pristiq

So getting off of Pristiq wasn’t on my short list of fun things to do. There is no taper strategy for Pristiq as it only comes in 50 mg and 100 mg tablets and you cannot cut them.

How I’m Getting Off Pristiq

But I seem to be successfully reducing the dose of Pristiq with minimal impact and withdrawal.

Antidepressant Comparison: Are Pristiq and Effexor the Same?

Posted by Natasha Tracy | Jun 18, 2010

Does Pristiq Just Serve to Extend the Effexor Patent?

If you live in the US, you’ve probably seen all the commercials for the new and pastel-pink-coloured antidepressant Pristiq. (Yes, prescribed for depression.) Pristiq is new and has a huge marketing push behind it and is a selective serotonin norepinephrine reuptake inhibitor (SNRI) antidepressant. In other words, it’s an antidepressant that works on both serotonin and norepinephrine neurotransmitters. It is not the only antidepressant to do this, but SNRIs are a smaller class of drugs than those that just effect serotonin alone (like Prozac). (Although admittedly, there seems to be a suspicious number of SNRI antidepressants in development.)

Pristiq and Effexor Are Almost the Same Drug

What you might not know, is the same company that makes the drug Pristiq (Wyeth) also makes Effexor, which is an almost identical antidepressant, and Effexor has recently become available in generic form (Venlafaxine). Pristiq, O-desmethylvenlafaxine, is actually the main metabolite of Effexor, venlafaxine hydrochloride.

This means that if you take Effexor, your body breaks it down into Pristiq and other chemicals. Yes, Pristiq and Effexor are almost the same drug.

Will ECT Work for Me? – Predictors of ECT Efficacy

Posted by Natasha Tracy | May 12, 2010

It would be nice to know ahead of time, if a treatment would work. Unfortunately, no one cal tell the future: not for cancer treatment and not for mental illness treatment like electroconvulsive therapy (ECT) either.

Will Electroconvulsive Therapy Work for Me?

But very smart people try to figure out what might predict the outcome of treatments. Especially treatments like ECT, a hotly debated, and much maligned treatment. That’s the good news. And the bad news.

In a retrospective chart review of depressive and bipolar patients in a Netherlands hospital, of those who received ECT, 65.8% met the standards for remission. The only predictor of response found was duration of index series.

Dimensional Diagnosis of Mental Illness

Posted by Natasha Tracy | Apr 23, 2010

There is a recognition among many of us crazies, as well as the professionals that treat us, that most of us do not simple fall into one camp – we’re bipolar with a hint of ADD; we have a borderline personality disorder with depressive and psychotic features; we suffer from schizo-affective disorder with post-traumatic stress disorder (PTSD) and addiction mixed in. Humans are complex, and their brains even more so.

My Depression Isn’t Your Depression

And what’s more, my depression isn’t like your depression. In fact, so much so, that using the same word is almost nonsensical. I sleep 15 hours a day, but you only sleep 3. I have a successful job, but no family or friends. You have neither but participate in online support groups 10 hours a day. I think about killing myself every day but you actually plan for it once a week. You never cry but I cry all the time. Are we the same? Am I more depressed than you, or less?

And things get more complicated when you compare personality disorders and bipolar and ADD and PTSD combined with comorbid conditions like addiction. And yet somehow we’re supposed to suss this all out, find a label, and a treatment that goes with it. That’s pretty tough.